ArticleBMC psychiatry2021
Development and psychometric testing of nursing students' perceptions of clinical stressors scale: an instrument design study.
Article in BMC psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Psychometric evaluation of the Persian version of the shared decision‑making questionnaire in patients undergoing emergency surgery.International journal of emergency medicine · 2026Article
- Development and Psychometric Properties of the ICU Nurses' Moral Resilience Scale.Nursing in critical care · 2026Article
- Self-Regulated Learning and Perceived Clinical Stressors in Undergraduate Nursing Students: A Cross-Sectional Study.Nursing open · 2026Article
- Psychometric validation of the Taiwanese nurse burnout scale.BMC psychology · 2026Article
- Psychological capital, perceptions of clinical stressors, and bullying experiences among Chinese nursing students during clinical practice: a latent profile and mediation analysis.Frontiers in public health · 2026Article
- Perceived stress, coping behaviors, and environmental-relational stressors during first clinical placement among nursing students.Frontiers in psychology · 2026Article
- Development and Validation of a Nursing Students' Clinical Practice Stress Scale: A Mixed Methods Study.Nursing open · 2026Article
- Article
- The relationship between the academic self-efficacy and perceived stressors among nursing students in clinical settings: a cross-sectional study.BMC nursing · 2025Article
- Assessment of The Effect of Stress, Sociodemographic Variables and Work-Related Factors on Rationing of Nursing Care.International journal of environmental research and public health · 2023Article
- Psychometric evaluation of the Arabic version of the Perceived Stress Scale in clinical practicum: Validity and reliability in the Moroccan nursing students.Journal of education and health promotion · 2022Article
- The impacts of innovation capability and social adaptability on undergraduates' employability: The role of self-efficacy.Frontiers in psychology · 2022Article
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Authors and funding
4 authors.
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Abstract
backgroundIn clinical environments, nursing students experience a range of stressors that can affect their health, learning, and quality of patient care. This study aimed to develop a Nursing Students' Perceptions of Clinical Stressors Scale (NSPCSS) and to evaluate its psychometric properties.
methodsThis exploratory, sequential mixed-method study was conducted in 2 phases. In the qualitative (item generation) phase, NSPCSS items were generated using the data collected from semi-structured interviews and a literature review. In the quantitative (psychometric evaluation) phase, face, content, construct, convergent, and discriminant validity and reliability of the scale were tested. To evaluate construct validity, exploratory and confirmatory factor analyses were performed on the data collected from 430 nursing students. Reliability was also assessed through internal consistency and composite reliability.
resultsIn this study, 6 factors were extracted from 30 itemes through exploratory factor analysis: (1) instructor's limited competence in clinical environments, (2) inappropriate clinical environment, (3) inadequate knowledge and skills, (4) inefficient education in clinical planning, (5) instructor's inappropriate conduct, and (6) concerns about the characteristics of nursing career. These factors accounted for 58.8% of the total variance. The results of the confirmatory factor analysis suggested the goodness-of-fit indices was acceptable. Furthermore, the internal consistency and composite reliability indices of all factors were greater than 0.7.
conclusionsThe NSPCSS is a valid and reliable instrument for assessing clinical stressors among nursing students.
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